International Standards to Document Remaining Autonomic Function after Spinal Cord Injury (ISAFSCI)

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Tool Description:

The ISAFSCI is an assessment designed to determine which autonomic functions are intact, impaired or lost following SCI. The assessment form consists of 2 main sections: General autonomic function and lower urinary tract, bowel and sexual function.

Availability:

Available for free here: https://www.iscos.org.uk/sitefiles/PageFile_20_Autonomic%20Standards%20Assessment%20Form%20FINAL%202009.pdf

ICF Domain:

Body Functions; Subcategory: Self Care

Number of Items:

11 items

Brief Instructions for Administration and Scoring:

The functional performance categories are scored on a 2 point scale from 0 (complete loss of control) to 2 (normal function).

Interpretability:

MCID: not established for SCI
SEM: not established for SCI
MDC: not established for SCI

Languages:

English.

Measurement Property Summary:

# of studies reporting psychometric properties: 1

Reliability:

  • Inter-rater reliability of the COPM is Moderate with the general autonomic component (κ=0.41-0.6) and High within the lower urinary tract, bowel, and sexual function component (κ=0.62-0.88)

[Davidson et al. 2017]

Validity: 

No studies reporting validity data.

Responsiveness:

Not established in SCI.

Floor/ceiling effect:

Not established in SCI.

Reviewers:

Dr. Vanessa Noonan, Marzena Zhou, Gita Manhas

Date Last Updated:

August 3, 2020

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Video

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Scoring

n/a

Equipment Needed

Davidson RA, Carlson M, Fallah N, Noonan VK,, Elliott SL, Joseph J, Smith KM, Krassioukov AV. Inter-Rater Reliability of the International Standards to Document Remaining Autonomic Function after Spinal Cord Injury. J Neurotrauma. 2017;34(3):552-558. https://www.liebertpub.com/doi/abs/10.1089/neu.2016.4489?rfr_dat=cr_pub%3Dpubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&journalCode=neu